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I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> I <br />:1 <br /> I <br /> I <br /> I <br /> I <br /> I <br /> i <br /> I <br /> I <br /> I <br /> I <br /> <br />20. <br /> <br />21. <br /> <br />22. <br /> <br />23. <br /> <br />Do any of the officers/shareholders possess an unexpired retail dealer's identification card <br />issued by the Liquor Control Commissioner? Yes No . ,~,," <br />If yes, give number <br /> -\ <br /> <br />Circle whizh-+ie~se classi.f'~o.n the application is being applied for: Exclusive liquor <br />store..e~aur~~estaura otel, ~..j <br /> <br />If this application is also for a special Sunday license, state the number of guests that may <br />be served food on the premises at any one time. _~ ~F~ <br /> <br />Are the premises now occupied, or to be occupied, by the .applicant entirely separate and <br />exclusive from any other business establishment? Yes .~' No If no, state <br />details about other occupants. <br /> <br />24. <br /> <br />25. <br /> <br />26. <br /> <br />Has applicant applied for an on-sale liquor license i~n/c, onjunction with any off-sale liquor <br />license for the same premises? Yes. No <br /> <br />Give Federal Retail Liquor Dealer'~ Tax Stamp Number, if any. <br /> I <br />If this application is a for a transfer, give name of former licensee and state whether any <br />consideration, money, or property has been paid, or will be paid, given or exchanged by <br />any one, and by whom and to whom for the purchase or transfer of the license; also state <br />the amount of consideration. <br /> <br />I hereby verify the above statement <br /> Signature of former licensee <br /> <br /> <br />